| NPI | 1801082243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013014792) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1173909) |
| 225100000X Physical Therapist (Licence: MD 22497) | |
| 225100000X Physical Therapist (Licence: IL 070.015443) | |
| 225100000X Physical Therapist (Licence: KS 1104588) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2022-01-16 |